Application for Employment

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age marital status, or non-job related disability

Choose Lobo Trucking Location*

Date of Application*

Position(s) applied for*

Name*

PrefixFirstLastSuffix

Email*

List your addresses of residence for the past 3 years.

Current Address*

Street AddressAddress Line 2CityStateZIP Code

Previous Address

Street AddressAddress Line 2CityStateZIP Code

Previous Address

Street AddressAddress Line 2CityStateZIP Code

Do you have the legal right to work in the United States?*

Yes

No

Date of Birth*

MM

DD

YYYY

Can you provide proof of age?*

Yes

No

Have you worked for this company before?*

Yes

No

Reason for leaving?

Are you now employed?*

Yes

No

If not, how long since leaving last employment?

Who referred you?

Rate of pay expected $

EMPLOYMENT HISTORY

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.

Applicants to drive a commercial motor vehicle in intrastate of interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle.

(NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary)

Employer Name:*

Address*

Street AddressAddress Line 2CityStateZIP Code

Contact Person*

Phone*

From*

Employment Start Date

To*

Employment End Date

Position Held*

Reason for Leaving*

Employer Name:

Address

Street AddressAddress Line 2CityStateZIP Code

Contact Person

Phone

From

Employment Start Date

To

Employment End Date

Position Held

Reason for Leaving

Employer Name:

Address

Street AddressAddress Line 2CityStateZIP Code

Contact Person

Phone

From

Employment Start Date

To

Employment End Date

Position Held

Reason for Leaving

Accident record for the past 3 years or more (attach sheet if more space is needed) if none, click none.

None

Last Accident (Date)

MM

DD

YYYY

Nature of Accident

(Head-on, Rear-end, Upset, ETC)

Fatalities

Yes

No

Injuries

Yes

No

Next Previous (Date)

MM

DD

YYYY

Nature of Accident

(Head-on, Rear-end, Upset, ETC)

Fatalities

Yes

No

Injuries

Yes

No

Next Previous (Date)

MM

DD

YYYY

Nature of Accident

(Head-on, Rear-end, Upset, ETC)

Fatalities

Yes

No

Injuries

Yes

No

Traffic convictions or forfeitures for the past 3 years (Other than parking violations) if none, write none.

None

Location

Date

MM

DD

YYYY

Charge

Penalty

EDUCATION

Choose the Highest Grade Completed

Elementary

1

2

3

4

5

6

7

8

9

High School

1

2

3

4

College

1

2

3

4

Last School Attended*

EXPERIENCE AND QUALIFICATIONS-DRIVER

DRIVER LICENSE:

State*

License No.*

Type*

Expiration Date*

Do you possess more than one drivers license?*

Yes

No

1. Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes

No

2. Has any license, permit or privilege ever been suspended or revoked?

Yes

No

IF THE ANSWER TO EITHER 1 OR 2 IS YES, ATTACH STATEMENT GIVING DETAILS.

• I hereby authorize Texas Lobo Trucking, LLC dba Lobo Trucking to conduct now, or at anytime while employed with “Lobo” or any of its affiliates, a public record(s) search report containing information for verification of prior employment, academic achievement, (financial history, use of motor vehicle, if applicable to the job), general background and personal character that may have related information to this application. In connection with an offer of employment “Lobo” may request a post offer drug test, medical inquiries and/or examination for purpose of establishing and verifying the performance of essential job functions.

• I release “Lobo” and all its subsidiaries, collectors and testing laboratories, their employees, agents and contractors from all liability relating to this testing and the decisions arising from the results of the test which may affect any employment offer that has been extended to me.

• I certify that the information provided herein is correct to the best of my knowledge and recognize that false or omitted information will result in employment refusal or termination without notice.

• I understand that applying for employment with “Lobo” shall in no way imply a guarantee or promise of employment. If employed, I understand that my employment by “Lobo” may be terminated at will for any reason, and I may voluntarily terminate my employment at any time for any reason.

• I further understand that I will not disclose, or use for my own benefit or purpose any trade secrets or confidential information.

• I understand that it is the policy of “Lobo” not to refuse to hire/otherwise discriminate against a qualified individual with a disability because of that persons need for reasonable accommodation as required by ADA.

• I also understand that this application becomes inactive and no longer under consideration 3 months from date of application.